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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426211729
Report Date: 08/20/2024
Date Signed: 08/20/2024 11:22:59 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/31/2024 and conducted by Evaluator Susana Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20240731155807
FACILITY NAME:ISLA VISTA CHILDREN'S CENTERFACILITY NUMBER:
426211729
ADMINISTRATOR:SERINEH VARTANIFACILITY TYPE:
850
ADDRESS:701 H WEST CAMPUS POINTE LN.TELEPHONE:
(805) 968-0488
CITY:GOLETASTATE: CAZIP CODE:
93117
CAPACITY:30CENSUS: 0DATE:
08/20/2024
UNANNOUNCEDTIME BEGAN:
10:01 AM
MET WITH:Christine BroesamleTIME COMPLETED:
11:37 AM
ALLEGATION(S):
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Staff failed to notify parent immediately after incident regarding head injury.
INVESTIGATION FINDINGS:
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On 8/20/24, Licensing Program Analyst (LPA) Susana Martinez conducted an unannounced inspection to deliver the findings with regard to an investigation of the above-mentioned allegation. LPA met with Christine Broesamle, Assistant Director of the Child Care Center (CCC) and explained the purpose of the inspection. LPA, toured the interior and exterior of the CCC. Due CCC having in-service teacher day, there were no children in care at the time of inspection.

The investigation included two unannounced inspections, LPAs' observations and record reviews, as well as interviews (random sampling) of former and current parents of children in care. Interviews, record reviews and LPAs' observations did not corroborate the allegation noted above. In essence, investigation revealed staff notify parents when there is an injury/incident regarding the head. Most parents interviewed indicated that center staff contact them via phone when their child(ren) have an injury to the head and also provide a written notice. Additionally, parents did not have any concerns regarding the staff and would recommend this facility to other families.
(CONT. 9099-C, Page 2)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 17-CC-20240731155807
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: ISLA VISTA CHILDREN'S CENTER
FACILITY NUMBER: 426211729
VISIT DATE: 08/20/2024
NARRATIVE
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LPA also conducted records review. Per review of the Departments incident logs, the CCC contacted the Department on 7/31/24 to report an unusual incident involving a child (C1) who fell off a play structure and hit it's head. The CCC indicated that the incident/injury occurred at around 11:15 AM. LPA spoke to C1’s authorized representative who stated a call was received on 7/31/24 around 11:20 AM from the CCC to report the incident involving C1.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No deficiencies were issued during this inspection.

A Notice of Site Visit (LIC 9213) and Appeal Rights (LIC 9058) were provided to Licensee. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may appeal.

Exit interview was conducted and report was reviewed with assistant director, Christine Broesamle.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2